Intracerebral hemorrhage

Intracerebral hemorrhage

    * Introduction
    * Hypertensive intracerebral hemorrhage
    * Clinical
    * Laboratory investigations
    * Treatment of cerebral hemorrhage
    * Further patient care
Hemorrhagic Stroke site is approximately 15% of all stroke mortality and cause about 25% in the first 24 hours of onset.
Primary brain bleeding is even higher in Romania, going to about 30%. Stroke are more common in men than in women up to age 75 years. After this age women are affected. At all ages, more women than men die from stroke. Afro-Americans and Japanese have a higher incidence of hemorrhagic stroke than other races.
Causes  
Intracerebral hemorrhage
The mechanism is mainly hypertensive intracerebral hemorrhage (more than two thirds of cases), while in other cases it is found vascular malformations, blood dyscrasias, small vessel disease, cerebral amyloid angiopatia or unidentified causes. In more recent series of patients studied were often mentioned blood dyscrasia and use of anticoagulants (especially in patients on chronic anticoagulation therapy and those treated with fibrinolysis for acute MI or ischemic stroke).
Vascular malformations occur mainly in children and young people between 15 and 40 years and is suspected in more peripheral location of bleeding.

 
For hemorrhagic stroke were found the following risk factors: hypertension, age, sex, race, consumption of cocaine and other drugs, alcohol, chronic administration of anticoagulants, impaired glucose tolerance, smoking, obesity, physical inactivity and stroke mortality by family.

    * Hypertensive intracerebral hemorrhage
    * Clinical
    * Laboratory investigations
    * Treatment of cerebral hemorrhage
    * Further patient care